非暴力沟通在肾移植科护患沟通中的应用研究

Application of nonviolent communication in kidney transplantation department nurse-patient communication

目的:探讨非暴力沟通在肾移植科护患沟通中的应用效果。方法:采用自愿原则组织本科室护士学习非暴力沟通,制定非暴力沟通培训专用教案。进行理论课程授课,设定日常语境模拟演练,使用《护士临床沟通能力量表》对护理人员培训前后沟通能力进行分析,评价非暴力沟通在肾移植科护患沟通中的应用效果。结果:护士学习非暴力沟通后理论成绩得分(87.50±7.10)分;应用《护士临床沟通能力量表》进行评价,显示困难情境沟通能力得分、情感感知能力得分、情感支持能力得分、基本非语言沟通能力得分培训前后差异有统计学意义(P<0.05);采用《护士沟通能力评估量表》进行评价,结果显示,信息交流反馈得分及沟通价值观得分培训前后差异有统计学意义(P<0.05);护士对该沟通模式的满意度为92.31%,患者针对护士服务态度、解决问题满意度为97.5%。结论:非暴力沟通指导交流双方转变谈话和聆听的方式,有意识地表达了自己的想法,学会了尊重与倾听他人的意见。

Objective: To investigate the effect of nonviolent communication in the communication between nurses and patients in kidney transplantation. Methods: Nurses learn nonviolent communication by developing a special lesson plan for nonviolent communication training. Derelop spedal lesson plans for non-vident commu-nication traning to teach theore ticla course, and set daily context for simulation exercises. The Nurses' Clinical Communication Ability Scale and Nurse communication Ability Assessment Scale were used to analyze the communication skills of nursing staff before and after training, and to evaluate the application effect of nonviolent communication in the communication between nurses and patients in renal transplantation. Results: After learning nonviolent communication, the nurse's theoretical score was(87.50 ± 7.10)points. There were statistically significant differences in the scores of communication ability, emotional perception ability, emotional support ability, and basic non-verbal communication ability before and after training(P < 0.05),and the differences in information exchange and feedback scores and communication values before and after training were statistically significant(P < 0.05). 92.31% of the nurses were satisfied with the communication mode, and 97.5% of the patients were satisfied with the nurses' service attitude and problem solving. Conclusion: Nonviolent communication instructs both parties to clearly observe feelings and wishes, express their own feelings, respect and listen to others, and promote the harmony of the medical and nursing relationship.